Shared Services Contact Center Specialist

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Curana Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Healthcare • B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

📋 Description

• Handle inbound calls, chats, emails, and faxes from healthcare providers • Resolve questions related to authorizations, claims, and general provider services • Document each interaction thoroughly • Research issues and ensure prompt, accurate follow-up • Guide providers through checking authorization status, submitting claims, and navigating the provider portal • Respond to provider inquiries with professionalism and accuracy • Research and resolve claim and payment questions • Assist with provider enrollment and credentialing status updates • Verify eligibility and benefits • Support network participation inquiries • Troubleshoot technical issues within the provider portal • Document and track interactions to ensure quality and compliance

🎯 Requirements

• High school diploma or equivalent (required) • 2+ years of experience in a healthcare contact center or customer service role • Knowledge of Medicare claims, Managed Care, Medicare Advantage, or Medicaid preferred • Strong verbal and written communication skills • Ability to navigate multiple systems and databases accurately • Excellent organization, time management, and follow-through skills • Independent problem-solving and decision-making ability • Must be able to work without visa sponsorship; the company is unable to provide sponsorship for a visa at this time (H1B or otherwise)